Individual
RENATO ALLER-ZUMAETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5844 NW BARRY RD, STE. 110, KANSAS CITY, MO 64154-1465
(816) 880-2600
(816) 880-2640
Mailing address
901 E. 104TH ST., MAILSTOP 400N, KANSAS CITY, MO 64131
(816) 502-7104
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016033675
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639433980
—
MO
Enumeration date
07/02/2012
Last updated
01/31/2018
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